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Showing codes 1821066804 — 1780652644
1821066804 -
TIMOTHY
M
SHELLEY
MD
Other Name
:
Mailing Address
:
PO BOX 1510
EAU CLAIRE
WI
54702-1510
Phone
: 715-838-5222;
Fax
: ;
Practice Location Address
:
1400 BELLINGER ST
,
, EAU CLAIRE
, WI
, 54703-5222
Practice Phone
: 715-838-5222;
Practice Fax
:
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1730157710 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1912975921 -
DR.
DR.
RAUL
G
NOGUEIRA
MD
Other Name
:
Mailing Address
:
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN
MA
02129-9142
Phone
: 617-724-0287;
Fax
: 617-726-2894;
Practice Location Address
:
55 FRUIT ST BLK 12
, RADIOLOGICAL ASSOCIATES
, BOSTON
, MA
, 02114-2696
Practice Phone
: 617-726-1767;
Practice Fax
: 617-726-3083
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1821066838 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1730157744 -
BARBARA
M
FONG
MD
Other Name
:
BARBARA
MEI HONG
FONG GRESS
Mailing Address
:
600 COFFEE RD
MODESTO
CA
95355-4201
Phone
: 209-521-6097;
Fax
: ;
Practice Location Address
:
600 COFFEE RD
,
, MODESTO
, CA
, 95355-4201
Practice Phone
: 209-521-6097;
Practice Fax
:
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1649248659 -
DR.
DR.
GLEN
J
HA
MD
Other Name
:
Mailing Address
:
200 LOTHROP STREET
ROOM 3950 CHP CMT
PITTSBURGH
PA
15213
Phone
: 412-647-3553;
Fax
: ;
Practice Location Address
:
200 LOTHROP ST
, ROOM 3950 CHP CMT
, PITTSBURGH
, PA
, 15213-2546
Practice Phone
: 412-647-3553;
Practice Fax
:
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1558339564 -
DR.
DR.
DANIEL
J.
FLETCHER
Other Name
:
Mailing Address
:
833 CHESTNUT ST STE 520
PHILADELPHIA
PA
19107-4430
Phone
: 800-321-9999;
Fax
: 267-479-1321;
Practice Location Address
:
1079 WHITE HORSE MERCERVILLE RD
,
, HAMILTON
, NJ
, 08610-1424
Practice Phone
: 267-339-3558;
Practice Fax
: 267-339-3763
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1467420471 -
MR.
MR.
BERNARD
HARRIS
JR.
IDC
Other Name
:
Mailing Address
:
USNH GTMO BOX 27
FPO
AE
09589
Phone
: 757-443-8100;
Fax
: ;
Practice Location Address
:
NAVAL HOSPITAL GTMO
,
, FPO
, AE
, 09589
Practice Phone
: 757-443-8100;
Practice Fax
:
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1376511386 -
WILLIAM
BANKS
MD
Other Name
:
Mailing Address
:
1201 GRAMPIAN BLVD
WILLIAMSPORT
PA
17701-1900
Phone
: ;
Fax
: ;
Practice Location Address
:
1705 WARREN AVE STE 204-205
,
, WILLIAMSPORT
, PA
, 17701-2647
Practice Phone
: 570-320-7474;
Practice Fax
:
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1285602292 -
DR.
DR.
BRUCE
DONALD
ROBBINS
M.D.
Other Name
:
Mailing Address
:
1422 HWY 62 SW
MOUNTAIN HOME
AR
72653-4617
Phone
: 870-424-6634;
Fax
: 870-424-6648;
Practice Location Address
:
1422 HWY 62 SW
,
, MOUNTAIN HOME
, AR
, 72653-4617
Practice Phone
: 870-424-6634;
Practice Fax
: 870-424-6648
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1093783003 -
DR.
DR.
MARGARET
LINDSAY
STRUTHERS
MD
Other Name
:
Mailing Address
:
PO BOX 25317
TAMPA
FL
33622-5317
Phone
: 813-286-0033;
Fax
: 813-282-1806;
Practice Location Address
:
603 7TH ST S
, SUITE 300
, ST PETERSBURG
, FL
, 33701-4719
Practice Phone
: 727-553-7500;
Practice Fax
:
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1902874910 -
HOSPITAL OF FULTON INC
Other Name
:
HILLVIEW MEDICAL CLINIC
Mailing Address
:
PO BOX 60985
SAINT LOUIS
MO
63160-0985
Phone
: ;
Fax
: ;
Practice Location Address
:
2006 HOLIDAY LN
, SUITE 100
, FULTON
, KY
, 42041-8468
Practice Phone
: 270-472-1612;
Practice Fax
:
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1811965825 -
KEVIN
PAUL
KHOUDARY
M.D.
Other Name
:
Mailing Address
:
105 SW CARY PKWY
SUITE 300
CARY
NC
27511-5600
Phone
: 919-467-3203;
Fax
: 919-459-5401;
Practice Location Address
:
110 KILDAIRE PARK DR STE 500
,
, CARY
, NC
, 27518-8161
Practice Phone
: 919-467-3203;
Practice Fax
:
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1720056732 -
COMMUNITY CONCEPTS, INC
Other Name
:
Mailing Address
:
17-19 MARKET SQUARE
PO BOX 278
SOUTH PARIS
ME
04281-0278
Phone
: 207-743-7716;
Fax
: 207-743-6513;
Practice Location Address
:
17-19 MARKET SQUARE
,
, SOUTH PARIS
, ME
, 04281-0278
Practice Phone
: 207-743-7716;
Practice Fax
: 207-743-6513
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1639147648 -
JENNIFER
LYNN
GAMBER
M.D.
Other Name
:
Mailing Address
:
1306 CONCOURSE DR STE 201
LINTHICUM HEIGHTS
MD
21090-1033
Phone
: ;
Fax
: ;
Practice Location Address
:
180 ADMIRAL COCHRANE DR STE 410&420
,
, ANNAPOLIS
, MD
, 21401-7300
Practice Phone
: 443-351-3376;
Practice Fax
: 410-224-5826
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1548238553 -
DR.
DR.
DORAIRAJ
SURESH
MD
Other Name
:
Mailing Address
:
PO BOX 410245
KANSAS CITY
MO
64141-0245
Phone
: 913-642-4900;
Fax
: 913-381-0979;
Practice Location Address
:
5325 FARAON ST
,
, SAINT JOSEPH
, MO
, 64506-3488
Practice Phone
: 913-642-4900;
Practice Fax
: 913-381-0979
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1457329468 -
MR.
MR.
BERJAN
COLLIN
MD
Other Name
:
Mailing Address
:
356 E MIDWAY RD
FORT PIERCE
FL
34982-7148
Phone
: 772-464-9746;
Fax
: 772-464-9750;
Practice Location Address
:
1801 SE HILLMOOR DR
, STE C 207
, PORT ST LUCIE
, FL
, 34952-7553
Practice Phone
: 772-335-4234;
Practice Fax
: 772-335-4236
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1366410375 -
LAURENT
NICOLOV
Other Name
:
Mailing Address
:
PO BOX 5127
EVERETT
WA
98206-5127
Phone
: ;
Fax
: ;
Practice Location Address
:
900 PACIFIC AVE STE 500
,
, EVERETT
, WA
, 98201-4189
Practice Phone
: 425-339-5400;
Practice Fax
: 425-339-5454
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1275501280 -
DR.
DR.
JILL
M
PFITZENMAYER
PH.D.
Other Name
:
Mailing Address
:
218 LAWRENCE DR
PORTSMOUTH
RI
02871-4063
Phone
: 401-954-4978;
Fax
: 401-841-8841;
Practice Location Address
:
1090 NEW LONDON AVE
,
, CRANSTON
, RI
, 02920-3035
Practice Phone
: 401-463-5778;
Practice Fax
: 401-463-3592
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1184692196 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1992773907 -
DOUGLAS
RULON
ROBISON
MD
Other Name
:
Mailing Address
:
PO BOX 29504
LAS VEGAS
NV
89126
Phone
: 702-878-0070;
Fax
: 702-870-2520;
Practice Location Address
:
3010 W CHARLESTON BLVD
, STE 150
, LAS VEGAS
, NV
, 89102
Practice Phone
: 702-878-0070;
Practice Fax
: 702-878-2520
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1801864814 -
DR.
DR.
DOUGLAS
L
GERVAIS
MD
Other Name
:
Mailing Address
:
4825 OLSON MEMORIAL HWY
#200
MINNEAPOLIS
MN
55422
Phone
: 763-545-0443;
Fax
: 763-545-2784;
Practice Location Address
:
4825 OLSON MEMORIAL HWY
, #200
, MINNEAPOLIS
, MN
, 55422
Practice Phone
: 763-545-0443;
Practice Fax
: 763-545-2784
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1710955729 -
JOHN
F
HOPKINS
DC
Other Name
:
Mailing Address
:
584 W PALMER ST
FRANKLIN
NC
28734-3014
Phone
: 828-524-3329;
Fax
: 828-349-4659;
Practice Location Address
:
584 W PALMER ST
,
, FRANKLIN
, NC
, 28734-3014
Practice Phone
: 828-524-3329;
Practice Fax
: 828-349-4659
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1629046636 -
MR.
MR.
ARSHAD
JAMIL
SIDDIQUI
MD
Other Name
:
Mailing Address
:
PO BOX 971521
BOCA RATON
FL
33497-1521
Phone
: 315-489-1885;
Fax
: ;
Practice Location Address
:
1489 W PALMETTO PARK RD STE 357
,
, BOCA RATON
, FL
, 33486-3327
Practice Phone
: 315-489-1885;
Practice Fax
:
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1538137542 -
CLIFFORD
G
JOHNSON
MD
Other Name
:
Mailing Address
:
6046 WHIPPLE AVE NW
NORTH CANTON
OH
44720-7616
Phone
: 330-433-1200;
Fax
: 330-433-1666;
Practice Location Address
:
6046 WHIPPLE AVE NW
,
, NORTH CANTON
, OH
, 44720-7616
Practice Phone
: 330-433-1200;
Practice Fax
: 330-433-1666
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1447228457 -
DANIEL
W
RODRIGUEZ
MD
Other Name
:
Mailing Address
:
6046 WHIPPLE AVE NW
NORTH CANTON
OH
44720-7616
Phone
: 330-433-1400;
Fax
: 330-433-1666;
Practice Location Address
:
6046 WHIPPLE AVE NW
,
, NORTH CANTON
, OH
, 44720-7616
Practice Phone
: 330-433-1200;
Practice Fax
: 330-433-1666
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1356319362 -
EVAN
J.
ABRAMSKY
P.A.
Other Name
:
Mailing Address
:
14610 S MILITARY TRL STE G3
DELRAY BEACH
FL
33484-3801
Phone
: 561-819-3100;
Fax
: 561-819-3119;
Practice Location Address
:
14610 S MILITARY TRL STE G3
,
, DELRAY BEACH
, FL
, 33484-3801
Practice Phone
: 561-819-3100;
Practice Fax
: 561-819-3119
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1265400279 -
MR.
MR.
RYAN
THOMAS
KRACH
ATC
Other Name
:
Mailing Address
:
3500 JOHN A MERRITT BLVD
NASHVILLE
TN
37209-1500
Phone
: 571-535-5979;
Fax
: ;
Practice Location Address
:
3500 JOHN A MERRITT BLVD
,
, NASHVILLE
, TN
, 37209-1500
Practice Phone
: 615-963-7829;
Practice Fax
:
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1174591184 -
KIRMANJ
AHMED
M.D.
Other Name
:
Mailing Address
:
9000 FRANKLIN SQUARE DR
BALTIMORE
MD
21237-3901
Phone
: 443-777-7000;
Fax
: ;
Practice Location Address
:
9000 FRANKLIN SQUARE DR
,
, BALTIMORE
, MD
, 21237-3901
Practice Phone
: 443-777-7000;
Practice Fax
:
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1083682090 -
JUDITH
A
TUCKER
NP
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
291 INDEPENDENCE DR
,
, CHESTNUT HILL
, MA
, 02467-3628
Practice Phone
: 617-325-2800;
Practice Fax
: 617-541-7500
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1891763801 -
DAVE
CHABRA
Other Name
:
Mailing Address
:
124 08 A LIBERTY AVE
RICHMOND HILL
NY
NY
11419
Phone
: ;
Fax
: ;
Practice Location Address
:
124 08 A LIBERTY AVE
, RICHMOND HILL
, NY
, NY
, 11419
Practice Phone
: 718-845-4466;
Practice Fax
:
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1700854718 -
DR.
DR.
ERIC
P.
WINER
M.D.
Other Name
:
Mailing Address
:
35 PARK ST # NP-4
NEW HAVEN
CT
06519-1110
Phone
: 203-785-4116;
Fax
: ;
Practice Location Address
:
35 PARK ST # NP-4
,
, NEW HAVEN
, CT
, 06519-1110
Practice Phone
: 203-785-4116;
Practice Fax
:
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1619945623 -
MR.
MR.
HENRY
B
KARPINSKI
CRNA
Other Name
:
Mailing Address
:
MEDICAL CENTER BLVD.
WINSTON SALEM
NC
27157-0001
Phone
: 336-713-2612;
Fax
: ;
Practice Location Address
:
MEDICAL CENTER BLVD.
,
, WINSTON SALEM
, NC
, 27157-0001
Practice Phone
: 336-713-2612;
Practice Fax
:
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1528036530 -
NANDA
J
NEVOLA
PT, PC
Other Name
:
Mailing Address
:
404 MAPLE AVE
UPPER NYACK
NY
10960-1320
Phone
: 845-348-8700;
Fax
: 845-348-8701;
Practice Location Address
:
TA RA INSTITUTE
, 104 LAKE RD
, VALLEY COTTAGE
, NY
, 10989-2339
Practice Phone
: 845-300-2847;
Practice Fax
: 668-412-4528
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1437127446 -
MS.
MS.
CATHERINE
VICTORIA
FEELEY
Other Name
:
Mailing Address
:
1118 SIR FRANCIS DRAKE BLVD
APT. 104
KENTFIELD
CA
94904-1447
Phone
: 831-917-0488;
Fax
: ;
Practice Location Address
:
599 TOMALES RD
, HEALTH SERVICES DIVISION
, PETALUMA
, CA
, 94952-5002
Practice Phone
: 707-765-7702;
Practice Fax
:
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1346218351 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1255309266 -
MS.
MS.
ANDREA
LAVIGNE
LMSW
Other Name
:
Mailing Address
:
1257 BEACONSFIELD AVE
GROSSE POINTE PARK
MI
48230-1056
Phone
: 313-300-2518;
Fax
: 248-433-3384;
Practice Location Address
:
725 S ADAMS RD
, SUITE L134
, BIRMINGHAM
, MI
, 48009-6902
Practice Phone
: 313-300-2518;
Practice Fax
: 248-433-3384
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1164490173 -
DR.
DR.
CHERYL
LYNN
EBMEIER
O.D.
Other Name
:
CHERYL
EBMEIER
VALENZUELA
Mailing Address
:
2641 E OAKLAND PARK BLVD
#3
FORT LAUDERDALE
FL
33306-1665
Phone
: 954-563-2211;
Fax
: 954-563-3919;
Practice Location Address
:
2641 E OAKLAND PARK BLVD
, #3
, FORT LAUDERDALE
, FL
, 33306-1665
Practice Phone
: 954-563-2211;
Practice Fax
: 954-563-3919
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1326016338 -
MRS.
MRS.
NICOLE
KIMBERLY
PERITORE
P.T
Other Name
:
Mailing Address
:
85 COOLIDGE AVE
LUDLOW
MA
01056-1720
Phone
: 413-589-9596;
Fax
: ;
Practice Location Address
:
85 COOLIDGE AVE
,
, LUDLOW
, MA
, 01056-1720
Practice Phone
: 413-589-9596;
Practice Fax
:
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1578531497 -
JAMES
RUSSELL
UHL
D.O.
Other Name
:
Mailing Address
:
PO BOX 1648
AMERICAN FORK
UT
84003-6648
Phone
: ;
Fax
: ;
Practice Location Address
:
2386 N 1560 W
,
, PLEASANT GROVE
, UT
, 84062-5027
Practice Phone
: 801-785-0263;
Practice Fax
:
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1487622304 -
RAJESH
MALLELA
M.D.
Other Name
:
Mailing Address
:
6626 E 75TH ST
SUITE 500
INDIANA
IN
46250-2890
Phone
: ;
Fax
: ;
Practice Location Address
:
208 CORWIN LN
,
, KOKOMO
, IN
, 46902-6612
Practice Phone
: 765-864-8700;
Practice Fax
: 765-864-8715
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1295703114 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1104894021 -
JEFFREY
ROSS
CUSMARIU
MD
Other Name
:
Mailing Address
:
2700 10TH AVE S STE 200
BIRMINGHAM
AL
35205-1248
Phone
: 205-259-3991;
Fax
: ;
Practice Location Address
:
2700 10TH AVE S STE 200
,
, BIRMINGHAM
, AL
, 35205-1248
Practice Phone
: 59-337-8382;
Practice Fax
: 205-876-8063
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1013985936 -
RAJESH
J
PATEL
M.D.
Other Name
:
Mailing Address
:
116 KERR AVE
SUITE B
JERSEY SHORE
PA
17740-1720
Phone
: 570-398-1800;
Fax
: 570-398-3320;
Practice Location Address
:
116 KERR AVE
, SUITE B
, JERSEY SHORE
, PA
, 17740-1720
Practice Phone
: 570-398-1800;
Practice Fax
: 570-398-3320
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1922076843 -
MS.
MS.
JENNIFER
M.
GALLO
PA-C
Other Name
:
Mailing Address
:
100 N ACADEMY AVE
DANVILLE
PA
17822-3034
Phone
: 570-271-6144;
Fax
: 570-271-6578;
Practice Location Address
:
100 N ACADEMY AVE
,
, DANVILLE
, PA
, 17822-2170
Practice Phone
: 570-271-6363;
Practice Fax
:
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1831167758 -
EDWIN
C
HAYS
JR.
MD
Other Name
:
Mailing Address
:
PO BOX 400
JACKSON
TN
38302-0400
Phone
: 731-423-8697;
Fax
: 731-422-5743;
Practice Location Address
:
2863 HIGHWAY 45 BYP
,
, JACKSON
, TN
, 38305-3618
Practice Phone
: 731-664-1375;
Practice Fax
: 731-660-2456
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1740258664 -
DR.
DR.
MARK
A
MEEKS
M D
Other Name
:
Mailing Address
:
PO BOX 650802
DALLAS
TX
75265-0802
Phone
: 972-715-5000;
Fax
: ;
Practice Location Address
:
13601 PRESTON RD
, STE 1000W
, DALLAS
, TX
, 75240-4911
Practice Phone
: 972-715-5000;
Practice Fax
:
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1659349579 -
DR.
DR.
BRADFORD
SMITH
M.D.
Other Name
:
Mailing Address
:
300 E MCBEE AVE FL 4
GREENVILLE
SC
29601-2842
Phone
: 864-522-8603;
Fax
: ;
Practice Location Address
:
22725 HIGHWAY 76 E
,
, CLINTON
, SC
, 29325-7527
Practice Phone
: 864-833-9100;
Practice Fax
: 864-833-9458
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1568430486 -
KENNETH
WAYNE
KOREY
MD
Other Name
:
Mailing Address
:
PO BOX 11406
BELFAST
ME
04915-4005
Phone
: 321-637-2975;
Fax
: 321-433-1935;
Practice Location Address
:
1133 SEMINOLE DR
,
, ROCKLEDGE
, FL
, 32955-2836
Practice Phone
: 321-637-2975;
Practice Fax
: 321-433-1935
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1477521391 -
TODD
M
STEFAN
MD
Other Name
:
Mailing Address
:
1 HOSPITAL DR STE 306
LEWISBURG
PA
17837-9350
Phone
: 570-522-4110;
Fax
: 570-768-3911;
Practice Location Address
:
3 HOSPITAL DR STE 100
,
, LEWISBURG
, PA
, 17837-9394
Practice Phone
: 570-524-5056;
Practice Fax
: 570-524-5061
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1386612208 -
DR.
DR.
DENISE
ANN
WHITFIELD
M.D.
Other Name
:
Mailing Address
:
34800 BOB WILSON DR
NMCSD, ATTN: MEDICAL STAFF SERVICES
SAN DIEGO
CA
92134-1098
Phone
: 619-532-6460;
Fax
: 619-532-6299;
Practice Location Address
:
1000 W CARSON ST
,
, TORRANCE
, CA
, 90502-2004
Practice Phone
: 424-306-5432;
Practice Fax
:
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1194793018 -
JAMES
RAYNER
M.D.
Other Name
:
Mailing Address
:
PO BOX 9484
PROVIDENCE
RI
02940-9484
Phone
: 401-854-2500;
Fax
: 401-854-2519;
Practice Location Address
:
593 EDDY ST
, CLAVERICK 2
, PROVIDENCE
, RI
, 02903-4923
Practice Phone
: 401-519-1604;
Practice Fax
: 401-272-0538
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1003884925 -
GREGORY
J
COLMAN
MD
Other Name
:
Mailing Address
:
2001 SANTA MONICA BLVD
990W
SANTA MONICA
CA
90404-2103
Phone
: 310-829-4484;
Fax
: 310-829-4481;
Practice Location Address
:
2001 SANTA MONICA BLVD
, 990W
, SANTA MONICA
, CA
, 90404-2103
Practice Phone
: 310-829-4484;
Practice Fax
: 310-829-4481
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1093783912 -
BERT NASH COMMUNITY MENTAL HEALTH CENTER INC
Other Name
:
Mailing Address
:
200 MAINE
STE A
LAWRENCE
KS
66044
Phone
: 785-843-9192;
Fax
: 785-843-6744;
Practice Location Address
:
1000 W. 2ND
,
, LAWRENCE
, KS
, 66044
Practice Phone
: 785-843-9192;
Practice Fax
:
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1902874829 -
JOHN
D
LIVERINGHOUSE
MD
Other Name
:
Mailing Address
:
PO BOX 14909
MINNEAPOLIS
MN
55414-0909
Phone
: 612-871-1145;
Fax
: 612-870-5491;
Practice Location Address
:
237 RADIO DR STE 210
,
, WOODBURY
, MN
, 55125-4478
Practice Phone
: 612-871-1145;
Practice Fax
: 612-870-5491
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1811965734 -
DR.
DR.
MADHAVI
RATNAM
PRAKASH
MD PHD
Other Name
:
Mailing Address
:
15 PARKMAN STREET
WACC 812, DEPARTMENT OF PSYCHIATRY, MGH
BOSTON
MA
02114
Phone
: 617-726-2000;
Fax
: 617-726-7541;
Practice Location Address
:
15 PARKMAN STREET
, WACC 812, DEPARTMENT OF PSYCHIATRY, MGH
, BOSTON
, MA
, 02114
Practice Phone
: 617-726-2000;
Practice Fax
: 617-726-7541
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1720056641 -
DR.
DR.
EDWARD
AUGDAHL
O.D.
Other Name
:
Mailing Address
:
5515 XERXES AVE N
BROOKLYN CENTER
MN
55430-2856
Phone
: 763-560-1636;
Fax
: 763-560-4101;
Practice Location Address
:
PEARLE VISION
, 5515 XERXES AVE NORTH
, BROOKLYN CENTER
, MN
, 55430
Practice Phone
: 763-560-1636;
Practice Fax
: 763-560-4101
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1639147556 -
MRS.
MRS.
AMY
K
DOUGLAS-GREEN
LCSW
Other Name
:
Mailing Address
:
1650 HWY 18 SOUTH
SPARTA
NC
28675-9198
Phone
: 336-372-4095;
Fax
: 828-262-5687;
Practice Location Address
:
1650 HWY 18 SOUTH
,
, SPARTA
, NC
, 28675-9198
Practice Phone
: 336-372-4095;
Practice Fax
: 828-262-5687
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1548238462 -
DR.
DR.
FRANK
JOHN
VITTIMBERGA
JR.
M.D.
Other Name
:
FRANK
J
VITTIMBERGA
Mailing Address
:
5000 W OAKLAND PARK BLVD
LAUDERDALE LAKES
FL
33313-1585
Phone
: 972-625-3611;
Fax
: 214-239-4964;
Practice Location Address
:
2325 NE 19TH AVE
,
, WILTON MANORS
, FL
, 33305
Practice Phone
: 972-890-3757;
Practice Fax
:
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1457329377 -
CRISP REGIONAL HOSPITAL, INC
Other Name
:
CRISP REGIONAL DIALYSIS
Mailing Address
:
902 N 7TH ST
CORDELE
GA
31015-3234
Phone
: 229-271-9686;
Fax
: 229-271-9689;
Practice Location Address
:
902 N 7TH ST
,
, CORDELE
, GA
, 31015-3234
Practice Phone
: 229-276-3100;
Practice Fax
: 229-276-3297
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1366410284 -
JENNIFER
Y
CHEN
NP
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
111 GROSSMAN DR
,
, BRAINTREE
, MA
, 02184-4997
Practice Phone
: 781-849-1000;
Practice Fax
: 781-849-0081
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1275501199 -
DR.
DR.
BRENT
EDWARD
PARSONS
O.D.
Other Name
:
Mailing Address
:
12964 N DALE MABRY HWY
TAMPA
FL
33618-2806
Phone
: 813-960-8896;
Fax
: 813-960-3248;
Practice Location Address
:
18510 N DALE MABRY HWY
,
, LUTZ
, FL
, 33548-7900
Practice Phone
: 813-960-8896;
Practice Fax
: 813-960-3248
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1184692006 -
DR.
DR.
MARY
JEANNE
DELEON
MD
Other Name
:
Mailing Address
:
820 N CHELAN AVE
WENATCHEE
WA
98801-2028
Phone
: 509-663-8711;
Fax
: ;
Practice Location Address
:
820 N CHELAN AVE
,
, WENATCHEE
, WA
, 98801-2028
Practice Phone
: 509-663-8711;
Practice Fax
:
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1992773816 -
YICK
MOON
LEE
MD
Other Name
:
Mailing Address
:
977 48TH ST
BROOKLYN
NY
11219-2919
Phone
: 718-283-8015;
Fax
: 718-635-7235;
Practice Location Address
:
4802 10TH AVE
,
, BROOKLYN
, NY
, 11219-2844
Practice Phone
: 718-283-7500;
Practice Fax
: 718-635-6149
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1801864723 -
BRIAN
R
COLEMAN
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
900 NE 10TH ST
,
, OKLAHOMA CITY
, OK
, 73104-5420
Practice Phone
: 405-271-4311;
Practice Fax
:
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1710955638 -
DR.
DR.
CHRISTOPHER
J
MOTTO
MD
Other Name
:
Mailing Address
:
ONE HOSPITAL DRIVE
SUITE 306
LEWISBURG
PA
17837-9350
Phone
: 570-522-4110;
Fax
: 570-768-3911;
Practice Location Address
:
25 LYSTRA ROGERS DR
,
, LEWISBURG
, PA
, 17837-8807
Practice Phone
: 570-523-3290;
Practice Fax
: 570-524-5231
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1629046545 -
DR.
DR.
JOHN
D
COWAN
M.D.
Other Name
:
Mailing Address
:
PO BOX 5629
MARYVILLE
TN
37802-5629
Phone
: 865-980-4844;
Fax
: 865-977-4787;
Practice Location Address
:
907 E LAMAR ALEXANDER PKWY
,
, MARYVILLE
, TN
, 37804-5015
Practice Phone
: 865-977-4641;
Practice Fax
: 865-977-4787
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1538137450 -
DR.
DR.
CHARLES
L.G.
HALASZ
M.D.
Other Name
:
Mailing Address
:
149 EAST AVE
SUITE 20
NORWALK
CT
06851-5711
Phone
: 203-853-1874;
Fax
: 203-831-0007;
Practice Location Address
:
149 EAST AVE
, SUITE 20
, NORWALK
, CT
, 06851-5711
Practice Phone
: 203-853-1874;
Practice Fax
: 203-831-0007
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1447228366 -
DR.
DR.
JOSEPH
M
MUCCIOLO
JR.
MD
Other Name
:
Mailing Address
:
1 HOSPITAL DR
SUITE 306
LEWISBURG
PA
17837-9350
Phone
: 570-522-4110;
Fax
: 570-768-3911;
Practice Location Address
:
25 LYSTRA ROGERS DR
,
, LEWISBURG
, PA
, 17837-8807
Practice Phone
: 570-523-3290;
Practice Fax
: 570-524-5231
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1356319271 -
MRS.
MRS.
KERRY
M
MORIN
MSPT
Other Name
:
Mailing Address
:
26 ASYLUM ST.
MILFORD
MA
01757
Phone
: 508-473-0400;
Fax
: 508-473-3440;
Practice Location Address
:
40 NORTH MAIN STREET
,
, BELLINGHAM
, MA
, 02019
Practice Phone
: 508-966-2717;
Practice Fax
: 508-966-2095
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1265400188 -
MR.
MR.
ROBERT
WILLIAM
STEWART
PHD
Other Name
:
Mailing Address
:
1948 N JOHN YOUNG PARKWAY
KISSIMMEE
FL
34741-4643
Phone
: 407-460-0418;
Fax
: ;
Practice Location Address
:
1948 N JOHN YOUNG PKWY
,
, KISSIMMEE
, FL
, 34741-3221
Practice Phone
: 407-460-0418;
Practice Fax
:
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1174591093 -
FRANCISCO
R
CARBALLO DURAN
M.D.
Other Name
:
Mailing Address
:
185 CANDELERO DR APT 608
FAIRLAKES VILLAGE
HUMACAO
PR
00791-6133
Phone
: 787-518-0104;
Fax
: ;
Practice Location Address
:
13 CALLE FLOR GERENA N
,
, HUMACAO
, PR
, 00791-4288
Practice Phone
: 787-518-0104;
Practice Fax
:
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1083682900 -
DR.
DR.
BENJAMIN
JOSHUA
ZIGUN
M.D.
Other Name
:
Mailing Address
:
130 DIVISION ST
GRIFFIN HOSPITAL
DERBY
CT
06418-1326
Phone
: 203-732-7550;
Fax
: ;
Practice Location Address
:
248 SEYMOUR AVE
, GRIFFIN HOSPITAL
, DERBY
, CT
, 06418-1332
Practice Phone
: 203-732-7550;
Practice Fax
: 203-732-1550
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1891763710 -
DR.
DR.
ELLEN
ADLER
WEINBERG
MD
Other Name
:
Mailing Address
:
830 HARRISON AVE
SUITE 1400
BOSTON
MA
02118-2905
Phone
: 617-638-8124;
Fax
: 617-638-6424;
Practice Location Address
:
720 HARRISON AVE
, DOB 503
, BOSTON
, MA
, 02118-2371
Practice Phone
: 617-414-5405;
Practice Fax
:
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1407824345 -
MRS.
MRS.
DRAGANA
ORLOVIC
M.D.
Other Name
:
Mailing Address
:
4605 MACCORKLE AVE SW
SOUTH CHARLESTON
WV
25309-1311
Phone
: 304-414-4800;
Fax
: ;
Practice Location Address
:
500 POPLAR ST STE 201
,
, SOUTH CHARLESTON
, WV
, 25309-1472
Practice Phone
: 304-306-3053;
Practice Fax
:
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1316915259 -
MR.
MR.
JERRY
A,
BENJAMIN
PA
Other Name
:
Mailing Address
:
1060 DAY HILL RD
WINDSOR
CT
06095-5719
Phone
: 860-696-2450;
Fax
: 860-696-2460;
Practice Location Address
:
1060 DAY HILL RD
,
, WINDSOR
, CT
, 06095-5719
Practice Phone
: 860-683-2690;
Practice Fax
: 860-683-2670
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1225006166 -
DENNIS
SPOONHOUR
JR.
DC
Other Name
:
Mailing Address
:
2237 N COMMERCE PKWY
SUITE 2
WESTON
FL
33326-3250
Phone
: 954-888-6650;
Fax
: 954-888-6645;
Practice Location Address
:
2237 N COMMERCE PKWY
, SUITE 2
, WESTON
, FL
, 33326-3250
Practice Phone
: 954-888-6650;
Practice Fax
: 954-888-6645
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1134197072 -
FRONT ROYAL INTERNAL MEDICINE ASSOC LTD
Other Name
:
Mailing Address
:
315 W 10TH STREET
FRONT ROYAL
VA
22630-2803
Phone
: 540-636-6131;
Fax
: 540-636-8774;
Practice Location Address
:
315 W 10TH STREET
,
, FRONT ROYAL
, VA
, 22630-2803
Practice Phone
: 540-636-6131;
Practice Fax
: 540-636-8774
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1083682926 -
DR.
DR.
MICHAEL
O'NEIL
FIDLER
MD
Other Name
:
Mailing Address
:
100 TRACY WAY
CHARLESTON
WV
25311
Phone
: 304-343-4583;
Fax
: 304-343-9207;
Practice Location Address
:
100 TRACY WAY
,
, CHARLESTON
, WV
, 25311
Practice Phone
: 304-343-4583;
Practice Fax
: 304-343-9207
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1891763736 -
LOUIS
G
MARTIN
MD
Other Name
:
Mailing Address
:
PO BOX 309
PICKENS
SC
29671-0309
Phone
: 864-850-1441;
Fax
: 864-850-1461;
Practice Location Address
:
1170 CLEVELAND AVE
,
, EAST POINT
, GA
, 30344-3615
Practice Phone
: 404-305-3500;
Practice Fax
:
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1700854643 -
DR.
DR.
PAULA
L
AMENDOLA-SEKINSKI
DO
Other Name
:
Mailing Address
:
30 CLINTON ST E
VALHALLA
NY
10595-1810
Phone
: 914-949-4661;
Fax
: ;
Practice Location Address
:
470 E FORDHAM RD
,
, BRONX
, NY
, 10458-5108
Practice Phone
: 718-960-3805;
Practice Fax
: 718-960-3806
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1619945557 -
DR.
DR.
MARJORIE
BERNADETTE
GWYNN
MD
Other Name
:
Mailing Address
:
7671 QUARTERFIELD ROAD
SUITE 200
GLEN BURNIE
MD
21061
Phone
: 410-766-0111;
Fax
: 410-582-9155;
Practice Location Address
:
7671 QUARTERFIELD ROAD
, SUITE 200
, GLEN BURNIE
, MD
, 21061
Practice Phone
: 410-766-0111;
Practice Fax
: 410-582-9155
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1518935477 -
DR.
DR.
IVAN
R
FIGUEROA DIAZ
M.D.
Other Name
:
Mailing Address
:
1277 CALLE 54 SE
LA RIVIERA
SAN JUAN
PR
00921-3144
Phone
: 787-781-7512;
Fax
: 787-781-8917;
Practice Location Address
:
1277 CALLE 54 SE LA RIVIERA
,
, SAN JUAN
, PR
, 00921-3144
Practice Phone
: 787-781-7512;
Practice Fax
: 787-781-7512
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1427026384 -
DAVID
GILLENWATER
MD
Other Name
:
Mailing Address
:
PO BOX 48037
WICHITA
KS
67201-8037
Phone
: 316-685-6112;
Fax
: 316-652-0340;
Practice Location Address
:
3515 BROADWAY AVE
,
, GREAT BEND
, KS
, 67530-3633
Practice Phone
: 620-792-2511;
Practice Fax
: 316-652-0340
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1336117290 -
DR.
DR.
JAMES
ALBERT
MOORE
JR.
O.D.
Other Name
:
Mailing Address
:
10452 SILVERDALE WAY NW
SILVERDALE
WA
98383-9411
Phone
: 360-307-7300;
Fax
: ;
Practice Location Address
:
10452 SILVERDALE WAY NW
,
, SILVERDALE
, WA
, 98383-9411
Practice Phone
: 360-307-7300;
Practice Fax
:
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1245208107 -
EMILIA
GUERRERO
Other Name
:
Mailing Address
:
94-520 LUMIAUAU ST A203
WAIPAHU
HI
96797
Phone
: ;
Fax
: ;
Practice Location Address
:
480 CENTRAL AVE
,
, PEARL HARBOR
, HI
, 96860
Practice Phone
: 808-473-1880;
Practice Fax
:
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1154399012 -
DR.
DR.
CORNELIA
ATHERTON
M.D.
Other Name
:
Mailing Address
:
PO BOX 909
LOUISVILLE
KY
40201-0909
Phone
: 502-852-8266;
Fax
: 502-852-3762;
Practice Location Address
:
530 S JACKSON ST
,
, LOUISVILLE
, KY
, 40202-1675
Practice Phone
: 502-852-8266;
Practice Fax
: 502-852-3762
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1063480929 -
SNYDER VOLUNTEER FIRE DEPARTMENT
Other Name
:
SNYDER VOL RESCUE SQUAD
Mailing Address
:
PO BOX 38
SNYDER
NE
68664-0038
Phone
: 402-572-4019;
Fax
: 402-965-8594;
Practice Location Address
:
502 W 3RD ST
,
, SNYDER
, NE
, 68664
Practice Phone
: 402-572-4019;
Practice Fax
: 402-965-8594
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1972571834 -
PATRICK
M.
OAKES
M.D.
Other Name
:
Mailing Address
:
8170 33RD AVE S
MS21110Q
MINNEAPOLIS
MN
55425-4516
Phone
: 952-883-5375;
Fax
: 320-203-2113;
Practice Location Address
:
2251 CONNECTICUT AVENUE S
, HP CENTRAL MN CLINICS
, SARTELL
, MN
, 56377-2486
Practice Phone
: 320-253-5220;
Practice Fax
: 320-203-2113
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1881662740 -
DOUGLAS
W
LAUBE
MD
Other Name
:
Mailing Address
:
7974 UW HEALTH CT
MIDDLETON
WI
53562-5531
Phone
: ;
Fax
: ;
Practice Location Address
:
202 S PARK ST
,
, MADISON
, WI
, 53715-1507
Practice Phone
: 608-417-6667;
Practice Fax
: 608-417-6364
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1699743559 -
DIANNE
CAROL
DRYSDALE
P.T.
Other Name
:
Mailing Address
:
2051 SEMINOLE RD
ATLANTIC BEACH
FL
32233-5919
Phone
: 904-241-9200;
Fax
: ;
Practice Location Address
:
2051 SEMINOLE RD
,
, ATLANTIC BEACH
, FL
, 32233-5919
Practice Phone
: 904-651-7459;
Practice Fax
: 904-241-9200
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1508834466 -
DR.
DR.
GORDON
HAUGLAND
M.D.
Other Name
:
Mailing Address
:
2323 W ROSE GARDEN LN
PHOENIX
AZ
85027-2530
Phone
: 602-521-6200;
Fax
: 623-842-5640;
Practice Location Address
:
5605 W EUGIE AVE STE 110
,
, GLENDALE
, AZ
, 85304-1273
Practice Phone
: 623-847-2000;
Practice Fax
:
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1417925371 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1326016288 -
MR.
MR.
MOHAMMED
ALBIBI
RPH
Other Name
:
Mailing Address
:
2303 W 15TH ST
PANAMA CITY
FL
32401-1500
Phone
: 850-785-0700;
Fax
: 850-785-0747;
Practice Location Address
:
2303 W 15TH ST
,
, PANAMA CITY
, FL
, 32401-1500
Practice Phone
: 850-785-0700;
Practice Fax
: 850-785-0747
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1235107194 -
RICHARD
M
MALAN
M.D.
Other Name
:
Mailing Address
:
PO BOX 942895
SACRAMENTO
CA
94295-0001
Phone
: 916-653-0080;
Fax
: 916-653-1795;
Practice Location Address
:
220 CALIFORNIA DR
,
, YOUNTVILLE
, CA
, 94599-1412
Practice Phone
: 707-944-4716;
Practice Fax
: 707-944-5052
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1144298001 -
DR.
DR.
LAWRENCE
I
SCHWARTZ
MD
Other Name
:
Mailing Address
:
3300 WEBSTER ST
SUITE 501
OAKLAND
CA
94609
Phone
: 510-451-3200;
Fax
: 510-451-3204;
Practice Location Address
:
3300 WEBSTER ST
, SUITE 501
, OAKLAND
, CA
, 94609
Practice Phone
: 510-451-3200;
Practice Fax
: 510-451-3204
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1053389916 -
DR.
DR.
SETH
G
FRIEDMAN
MD
Other Name
:
Mailing Address
:
560 NORTHERN BLVD
GREAT NECK
NY
11021
Phone
: 516-466-6168;
Fax
: 516-466-6246;
Practice Location Address
:
560 NORTHERN BLVD
,
, GREAT NECK
, NY
, 11021
Practice Phone
: 516-466-6168;
Practice Fax
: 516-466-6246
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1962470823 -
ERIN
LOUISE
CLARK
MD
Other Name
:
ERIN
LOUISE
BALDEN
Mailing Address
:
2817 REILLY ROAD
WOMACK ARMY MEDICAL CENTER MCXC-COD CREDENTIALS
FORT BRAGG
NC
28310
Phone
: 910-907-8922;
Fax
: 910-907-6069;
Practice Location Address
:
WOMACK ARMY MEDICAL CENTER
, DEPT OF MEDICINE
, FT BRAGG
, NC
, 28310
Practice Phone
: 910-907-8690;
Practice Fax
: 910-907-8360
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1871561738 -
DAVID
RESER
MD
Other Name
:
Mailing Address
:
PO BOX 1241
SOUTH BEND
IN
46624-1241
Phone
: 885-691-9888;
Fax
: ;
Practice Location Address
:
600 EAST BLVD
,
, ELKHART
, IN
, 46514-2483
Practice Phone
: 574-523-3160;
Practice Fax
:
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1780652644 -
DR.
DR.
KENNETH
G
INDAHL
DPM
Other Name
:
Mailing Address
:
2399 HIGHWAY 34
SUITE A-6
MANASQUAN
NJ
08736-1500
Phone
: 732-528-8223;
Fax
: 732-528-7057;
Practice Location Address
:
2399 HIGHWAY 34
, SUITE A-6
, MANASQUAN
, NJ
, 08736-1500
Practice Phone
: 732-528-8223;
Practice Fax
: 732-528-7057
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